78452 — Ht Muscle Image Spect Mult
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ht muscle image spect mult (CPT 78452) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78452?code_type=CPT
MLA (9th ed.)
“Ht muscle image spect mult (CPT 78452) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78452?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Ht muscle image spect mult (CPT 78452) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78452?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,195–$3,569 (25th–75th percentile) across 2,870 hospitals · 10,075 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78452 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,195
$1,769 typical
$3,569
The middle 50% of negotiated facility rates for this procedure, measured across 2,870 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,769 |
| Radiologist read Estimate national typical Medicare $74 × 1.8 commercial. | $134 |
| Likely subtotal | $1,903 |
Complete-episode estimate (typical)
~$1,903
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| BROWN COUNTY HOSPITAL Outpatient | Midlands Choice | Commercial | $1.00 | $4,595.00 | $3,446.00 | 2025-08-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,096.70 | $6,562.86 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $13,125.75 | $8,531.74 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.24 | $303.00 | $57.57 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.24 | $303.00 | $57.57 | 2026-01-25 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,804.00 | — | 2025-06-28 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.35 | $246.05 | $159.93 | 2026-05-07 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,325.00 | $732.50 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,325.00 | $732.50 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,325.00 | $732.50 | 2026-05-06 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.78 | $4,080.00 | $3,060.00 | 2026-03-26 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Outpatient | Blue Shield of California | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Outpatient | Blue Shield of California | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $3.50 | $4,007.00 | $27.85 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $3.50 | $4,007.00 | $27.85 | 2026-05-09 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $3.67 | $5,065.00 | $3,545.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $3.67 | $5,065.00 | $3,545.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $3.67 | $5,065.00 | $3,545.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $3.67 | $5,065.00 | $3,545.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $3.67 | $5,065.00 | $3,545.50 | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | — | $11,542.00 | $7,502.30 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $9.00 | — | — | 2026-05-06 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $9.22 | $6,298.00 | — | 2026-02-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $9.45 | — | — | 2026-05-06 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $10.90 | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $1,366.00 | $1,024.50 | 2025-03-07 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $11.23 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $11.23 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $11.23 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $11.23 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.49 | $6,381.00 | $1,457.24 | 2024-12-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $13.17 | $4,297.00 | $1,589.89 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $7,766.97 | $5,048.53 | 2025-11-26 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $17.00 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $17.11 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $17.11 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $19.21 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $19.21 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $19.28 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $19.28 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $19.49 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $19.56 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $19.56 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $19.61 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $19.61 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $19.66 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $19.66 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.74 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.74 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.74 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $20.09 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $20.09 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $20.22 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.27 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,529.00 | $2,943.85 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $20.50 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $20.50 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,529.00 | $2,943.85 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $20.71 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $20.71 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.80 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $21.09 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $21.09 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $21.22 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $21.34 | $5,334.00 | $5,067.30 | 2026-02-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $21.35 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $21.35 | $7,355.03 | $7,355.03 | 2026-03-18 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - MCS | $21.50 | $5,372.00 | $4,029.00 | 2026-04-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $21.52 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $21.52 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $21.57 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $21.57 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $21.57 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $21.57 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $21.84 | $4,550.00 | $4,322.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $21.84 | $4,550.00 | $4,322.50 | 2026-02-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $22.30 | $4,550.00 | $4,322.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.30 | $4,550.00 | $4,322.50 | 2026-02-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $22.47 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $22.47 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $23.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $23.01 | $318.00 | $47.70 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $23.01 | $318.00 | $47.70 | 2026-01-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.20 | $4,550.00 | $4,322.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $23.47 | $4,789.00 | $4,549.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $23.47 | $4,789.00 | $4,549.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $23.95 | $4,789.00 | $4,549.55 | 2026-02-20 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $24.00 | $4,007.00 | $27.85 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $24.00 | $4,007.00 | $27.85 | 2026-05-09 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $24.05 | $2,257.00 | $1,128.50 | 2024-12-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $24.90 | $4,789.00 | $4,549.55 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $25.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $25.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $25.86 | $4,789.00 | $4,549.55 | 2026-02-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $26.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $26.20 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $26.20 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $26.20 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $26.20 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $26.20 | — | — | 2026-03-28 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB WASH CIGNA PPO | $26.80 | $8,121.00 | $5,278.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO CIGNA PPO | $26.80 | $8,677.48 | $5,640.36 | 2026-03-12 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $26.86 | $427.00 | $427.00 | 2026-02-13 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $27.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $27.00 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $27.00 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $27.35 | $8,970.00 | $1,973.40 | 2026-03-19 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $27.39 | $2,613.00 | $1,306.50 | 2025-12-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $27.71 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $28.28 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $28.56 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $28.63 | $129.26 | $129.26 | 2024-12-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $9,914.00 | $7,435.50 | 2024-12-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $29.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $29.20 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $29.20 | $44.93 | $44.93 | 2026-03-27 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - Medi-Cal | $29.43 | $5,372.00 | $4,029.00 | 2026-04-01 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $29.50 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $29.68 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $30.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $9,914.00 | $7,435.50 | 2024-12-08 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $31.27 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $32.00 | $182.00 | $91.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $32.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $32.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $32.66 | $122.00 | $85.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $32.66 | $122.00 | $85.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $32.66 | $122.00 | $85.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $32.66 | $122.00 | $85.40 | 2026-04-02 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $33.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $10,449.00 | $7,836.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $10,449.00 | $7,836.75 | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $34.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $34.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $34.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $34.10 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $34.10 | $70.00 | $70.00 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $9,161.00 | $7,512.02 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $10,596.00 | $7,947.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $10,596.00 | $7,947.00 | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $35.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $35.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $35.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $35.35 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $35.35 | $70.00 | $45.50 | 2026-03-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $36.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $36.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $36.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $36.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $36.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $186.00 | $93.00 | 2025-02-03 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $5,910.88 | $4,433.16 | 2026-02-25 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | SELF PAY | SELF PAY IVITA | $36.50 | $146.00 | $36.50 | 2026-04-08 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | SELF PAY | SELF PAY | $36.50 | $146.00 | $36.50 | 2026-04-08 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.